NPIMap

Organization Active NPI

Solace Mental Health and Wellness

  • Psychiatric/Mental Health Nurse Practitioner
  • Severna Park, MD
National Provider Identifier
1740884931
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SOLACE MENTAL HEALTH AND WELLNESS
Practice address
811 Ritchie Hwy Ste 15
Severna Park, MD 21146-4130
Phone
(410) 995-9993
Fax
(410) 995-8702
NPI assigned
Nov 28, 2020
Last updated
Apr 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kelly Bartz, PMHNPNPI 1811476096
Title
Co-Owner
Phone
(443) 791-9780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Psychiatric/Mental Health Nurse Practitioner 363LP0808X Primary

Addresses

Primary practice location

811 Ritchie Hwy Ste 15
Severna Park, MD 21146-4130

Mailing address

811 Ritchie Hwy Ste 15
Severna Park, MD 21146-4130
Phone (410) 995-9993

National Provider Directory

National Provider Directory

Locations

672 Old Mill Rd
#270
Millersville, MD 21108

811 Ritchie Hwy
Ste 15
Severna Park, MD 21146
Phone (410) 980-6136

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1606521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1740884931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 RITCHIE HWY STE 15",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464130",
            "telephone_number": "410-995-9993",
            "fax_number": "410-995-8702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 RITCHIE HWY STE 15",
            "city": "SEVERNA PARK",
            "state": "MD",
            "postal_code": "211464130",
            "telephone_number": "410-995-9993",
            "fax_number": "410-995-8702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLACE MENTAL HEALTH AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-28",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "BARTZ",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "443-791-9780",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Severna Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.